ArticlePhysical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine2021
Composite psychosocial risk based on the fear avoidance model in patients undergoing anterior cruciate ligament reconstruction: Cluster-based analysis.
Article in Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Mental health in elite athletes: International Olympic Committee consensus statement (2026).British journal of sports medicine · 2026Article
- Identifying kinesiophobia subtypes and their determinants in patients with hip fractures: a latent profile analysis.Frontiers in psychiatry · 2025Article
- Go to the back before going forward: Addressing psychological responses in anterior cruciate ligament reconstruction rehabilitation.Journal of sport and health science · 2024Article
- Comparison of Functional Outcomes after Anterior Cruciate Ligament Reconstruction with Meniscal Repair for Unstable versus Stable Meniscal Tears.Diagnostics (Basel, Switzerland) · 2024Article
- Physical Therapists' Use of Psychological Skills Training in Rehabilitation Following Traumatic Knee Injury: An Online Survey Study.International journal of sports physical therapy · 2024Article
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Authors and funding
14 authors.
Funding
Abstract
objectivesTo examine associations between preoperative fear-avoidance model (FAM) risk subgroup status and patient expectation of surgical success with postoperative outcomes at 6 and 12 months after anterior cruciate ligament reconstruction (ACLR).
designCohort study.
settingAcademic medical center.
participants54 patients (25 females) undergoing unilateral ACLR.
main outcome measuresCluster analysis distinguished FAM risk subgroups based on preoperative fear of movement/reinjury, self-efficacy, and pain catastrophizing. Preoperative expectation for surgical success was assessed with a numeric rating scale. Six and 12-month outcomes included Subjective Patient Outcomes for Return to Sport, Knee Injury and Osteoarthritis Outcome Score (KOOS) sports/recreation and quality of life, and International Knee Documentation Committee (IKDC) Subjective Knee Form.
resultsThirteen (24%) patients were "moderate-to-high FAM risk." Moderate-to-high FAM risk patients had lower odds of return to sport at 12 months (OR = 0.3, p = .05) and lower KOOS sports/recreation at 6 months (st. beta = -0.27, p = .05), KOOS quality of life at 12 months (st. beta = -0.42, p = .007), and IKDC at 6 (st. beta = -0.29, p = .04) and 12 months (st. beta = -0.47, p = .001). Higher expectation was associated with lower 6-month IKDC (st. beta = -0.36, p = .008) and 12-month KOOS quality of life (st. beta = -0.29, p = .05).
conclusionsPreoperative FAM risk influences patient-reported outcomes and return to sport at 6 and 12 months.
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